Individual
MRS. JESSIE JEAN PETKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 TAUNTON GRN, TAUNTON, MA 02780-3225
(508) 822-4027
Mailing address
22 DURANT RD, S WEYMOUTH, MA 02190-2751
(781) 340-5144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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